"This volume of poetry and prose is written by nurses about their experiences of caring. It describes their disasters, their triumphs, their joy and sorrow. It is, quite simply, wonderful. . . . Beg, steal, or borrow this book; if that fails, buy it."--Nursing Times "Their [the nurses'] words expand the practice of nursing as well as the practice of language. By bearing witness to the intimate details of nursing, from the mundane to the beautiful to the tragic, they reveal the epiphanies of life and death."--ADVANCE for Nurse Practitioners "A striking, often beautiful collection which brings to speech what occurs between the caring and the cared for--moments at the edges of life when, for most of us, even crucial communication seems beyond the reach of words. Coming now, Between the Heartbeats seems a particularly important book, breaking as it does the silence of women and men who, perhaps more than any others, live the essentials behind the health care debate."--Honor Moore, author of The White Blackbird "Powerful, honest and vivid, this collection of stories and poetry gives voice to the compassion and grief felt by nurses from around the world. A compelling and graceful anthology which will touch any reader, regardless of medical background."--Creative Health Care Resources "A new class of authors who are experienced professionals as well as skilled and talented writers, these nurses write out of a powerful sense of the immediacy of the body, the concreteness of suffering, and the nuanced individuality of their patients. Honest, vivid, and unsentimental, the works of this collection will not fail to move--at times even astonish--medical and nonmedical readers alike."--Anne Hunsaker Hawkins, College of Medicine, Pennsylvania State University "The best nurses have always been holistically oriented: they are the inevitable sharers of our mind, body, and soul secrets. Reading Between the Heartbeats, we share theirs. These fine poems, stories, and memoirs are honed, harrowing, and surprisingly life-affirming vignettes of the here and now. Between the Heartbeats is a splendid merger of the healing and written arts."--Dick Allen, Director of Creative Writing, University of Bridgeport Nurses who are also creative writers have a powerful empathetic outlet for the joys and griefs of their everyday experiences. In Between the Heartbeats an international, diverse community of nurses write honestly and compassionately about their work. By unsentimentally translating out suffering into prose and poetry, the registered nurses in this brave, graceful anthology perform another enduring act of loving care. THIS HAPPENED Cortney Davis My point is that illness is not a metaphor ... --Susan Sontag The intern and I begin our rounds. In room two, the intern watches me; he doesn't like this patient anyway-- she's messy, a see-through plastic tube pulls bile from her stomach to a bottle near her head. A small balloon inside her throat keeps pressure on vessels wrecked by years of gin. The patient's wide awake, but she can't talk. I see her eyes open, her skin pale at the moment these veins blow, like a tire blows. Blood backs up her nose. She tries to sit; her wrists are tied. I take her hand and say, OK. OK. The intern leaves. Next the patient's gut lets go. Stool and blood clot between her legs, hot and soft, not like sex, more like giving birth. OK, I say. We let our fingers intertwine. By 8:15 the woman calms. Clots thicken in her throat; she holds her breath. At nine, blood coins close her eyes. I breathe deep, stroke the patient's arm. The intern, who went downstairs to sleep, will ask me later. But what happened here can't be said again and be the same. WHAT ABEL SAYS Patricia Maher Abel talks in stories. He tells me a string of them about the sea and a small boat anchored yet moving with the wind and water. Abel tells me he too is anchored anchored to his house by the dirt, he says. I listen, realizing my silence is the precious thing I bring. It makes space for hope. My breathing is shallow the stench is so deep at Abel's. My foot stamps to keep the gray mice away his pets, he says since he lost his dog. He eats cold beans out of the can happy for my company. Frayed shirt and long beard his shoes are molded to his feet. I took them off for him once but now we just stand facing his mantle and look at the pictures and bills. His wife's pocketbook although she's long gone sits open as if she might return like an anchor he can't bear to pull up nor can I, yet. INSTRUCTING A NEW MOTHER Dawn Ramm Like a Little Barracuda the newborn latches on-- nurses until a nipple bleeds. Move him to the other breast, I advise-- speak for the hospital and for the numerous books I have read: how to hold him how to open his mouth how to break the suction with a finger. Yet I never knew my body as this mother does-- its natural capacity. I measured exact amounts of evaporated milk, Karo syrup and water. The efficient nurse who contaminated nothing.

Beyond Method provides a forum for scholars across health and human sciences disciplines to explore issues surrounding philosophy, methodology, and epistemology in the context of interpretive scholarship. The essays comprising this volume move beyond the practical descriptions or the "how to" of interpretive methods commonly found in textbooks to explore the contributions, underlying assumptions, limitations, and possibilities embedded within and across particular philosophical, methodological, and epistemological perspectives. They reveal the complexity and richness of understanding that emerges when philosophical issues are explicated within contemporary contexts, illuminating new possibilities for healthcare and human science scholarship.

This timely and up to date new edition of Biomedicine and Beatitude features an entirely new chapter on the ethics of bodily modification. It is also updated throughout to reflect the pontificate of Pope Francis, recent concerns including ethical issues raised by the COVID-19 pandemic, and feedback from the many instructors who used the first edition in the classroom.

In the French Third Republic, nursing was an occupation caught in the crosscurrents of conflicting notions about the role of women. This deft political history shows how the turmoil and transformation of nursing during this period reflected the political and cultural tensions at work in the nation, including critical conflicts over the role of the Church in society, the professionalization of medicine, the organization and growing militancy of the working classes, and the emancipation of women.

Bodies and Souls describes a time when nursing evolved from a vocation dominated by Catholic orders to a feminine profession that included increasing numbers of lay women. As she pursues this story from the founding of the first full-time professional nursing school in Lyons through the changes wrought by World War I, Katrin Schultheiss reveals how the debates over what nurses were to be, know, and do were deeply enmeshed in issues of class, definitions of femininity, the nature of women's work, and the gendered character of social and national service. Her fine study maps the intersection of these debates with political forces, their impact on hospital nursing and nursing education, and on the shaping of a feminine version of citizenship in France.

In rural South African clinics, Black nurses played critical roles. Charged with administering valuable and life-saving health care measures despite a lack of equipment and personnel, these nurses had to navigate the intersections of traditional African healing practices, changing gender relations, and increasing educational and economic opportunities for South Africa’s Black middle class between the 1960s and 1980s.
 
Leslie Anne Hadfield compellingly demonstrates how these women were able to successfully carve out their own professional space and reshape notions of health and healing in the Eastern Cape. Bringing forth the stories of these nurses in their own voices, A Bold Profession is an homage to their dedication to the well-being of their communities. Hadfield sheds light on the struggles of balancing commitment to career and family lives during an oppressive apartheid. The volume fills an important gap for scholars studying the history of women, nursing, and health care in South Africa, illuminating the humanity of health care workers.

Beginning in the 1960s, second-wave feminism inspired and influenced dramatic changes in the nursing profession. Susan Gelfand Malka argues that feminism helped end nursing's subordination to medicine and provided nurses with greater autonomy and professional status. She discusses two distinct eras in nursing history. The first extended from the mid-1960s to the mid-1980s, when feminism seemed to belittle the occupation in its analysis of gender subordination but also fueled nursing leaders' drive for greater authority and independence. The second era began in the mid-1980s, when feminism grounded in the ethics of care appealed to a much broader group of caregivers and was incorporated into nursing education. While nurses accepted aspects of feminism, they did not necessarily identify as feminists. Nonetheless, they used, passed on, and developed feminist ideas that brought about nursing school curricula changes and the increase in self-directed and specialized roles available to caregivers in the twenty-first century.

An analysis of the efforts of American nurses to establish nursing as an academic discipline and nurses as valued researchers in the decades after World War II.

Nurses represent the largest segment of the U.S. health care workforce and spend significantly more time with patients than any other member of the health care team. Dr. Nurse probes their history to examine major changes that have taken place in American health care in the second half of the twentieth century. The book reveals how federal and state health and higher education policies shaped education within health professions after World War II.

Starting in the 1950s, academic nurses sought to construct a science of nursing—distinct from that of the related biomedical or behavioral sciences—that would provide the basis for nursing practice. Their efforts transformed nursing’s labor into a valuable site of knowledge production and proved how the application of their knowledge was integral to improving patient outcomes. Exploring the knowledge claims, strategies, and politics involved as academic nurses negotiated their roles and nursing’s future, Dr. Nurse highlights how state-supported health centers have profoundly shaped nursing education and health care delivery. 

This is an auto-narrated audiobook edition of this book.

An analysis of the efforts of American nurses to establish nursing as an academic discipline and nurses as valued researchers in the decades after World War II.

Nurses represent the largest segment of the U.S. health care workforce and spend significantly more time with patients than any other member of the health care team. Dr. Nurse probes their history to examine major changes that have taken place in American health care in the second half of the twentieth century. The book reveals how federal and state health and higher education policies shaped education within health professions after World War II.

Starting in the 1950s, academic nurses sought to construct a science of nursing—distinct from that of the related biomedical or behavioral sciences—that would provide the basis for nursing practice. Their efforts transformed nursing’s labor into a valuable site of knowledge production and proved how the application of their knowledge was integral to improving patient outcomes. Exploring the knowledge claims, strategies, and politics involved as academic nurses negotiated their roles and nursing’s future, Dr. Nurse highlights how state-supported health centers have profoundly shaped nursing education and health care delivery. 

Margaret Charles Smith, a ninety-one-year-old Alabama midwife, has thousands of birthing stories to tell. Sifting through nearly five decades of providing care for women in rural Greene County, she relates the tales that capture the life-and-death struggle of the birthing experience and the traditions, pharmacopeia, and spiritual attitudes that influenced her practice. She debunks images of the complacent southern “granny” midwife and honors the determination, talent, and complexity of midwifery.

Fascinating to read, this book is part of the new genre of writing that recognizes the credibility of midwives who have emerged from their own communities and were educated through apprenticeship and personal experience. Past descriptions of southern black midwives have tended to denigrate their work in comparison with professional established medicine. Believed to be the oldest living (though retired) traditional African American midwife in Alabama, Smith is one of the few who can recount old-time birthing ways. Despite claims that midwives contributed to high infant mortality rates, Smith’s story emphasizes midwives' successes in facing medical challenges and emergencies.

In Nursing Civil Rights, Charissa J. Threat investigates the parallel battles against occupational segregation by African American women and white men in the U.S. Army.

As Threat reveals, both groups viewed their circumstances with the Army Nurse Corps as a civil rights matter. Each conducted separate integration campaigns to end the discrimination they suffered. Yet their stories defy the narrative that civil rights struggles inevitably arced toward social justice. Threat tells how progressive elements in the campaigns did indeed break down barriers in both military and civilian nursing. At the same time, she follows conservative threads to portray how some of the women who succeeded as agents of change became defenders of exclusionary practices when men sought military nursing careers. The ironic result was a struggle that simultaneously confronted and reaffirmed the social hierarchies that nurtured discrimination.

Responding to the growing need for tried-and-trusted solutions to the reproductive health care issues confronting millions of women worldwide, Obstetrics and Gynecology in Low-Resource Settings provides practical guidelines for ensuring the delivery of quality OB/GYN care to women in resource-poor countries. Including contributions from leading clinicians and researchers in the field, this welcome overview fills an important gap in existing medical literature on women’s health care and will be an invaluable resource for doctors, clinicians, and medical students at all stages of their careers who work in the global health arena.

The reproductive health risks that all women face are greatly exacerbated when health care facilities are inadequate, equipment and medications are in short supply, and well-trained medical staff are few and far away. Often in these settings, the sole doctor or medical professional on hand has expertise in some areas of women’s reproductive care but needs a refresher course in others.

This informative guide features hands-on, step-by-step instruction for the most pertinent OB/GYN conditions—both acute and chronic—that health care workers in the field confront. The authors examine a wide range of topics, including: strategies to reduce maternal mortality and stillbirths; infectious and sexually transmitted diseases, including malaria and HIV; cervical cancer; contraception; prenatal, delivery, and newborn care; and complications arising from gender-based violence and female genital cutting. Published in a convenient format with a durable binding, this reference will be an essential companion to health care providers throughout the world.

This report presents the results of a conference of 38 national experts in nutrition and public health who met to develop performance standards that could guide restaurants toward facilitating healthier choices among consumers and that local communities or states could use as a model for developing and implementing either voluntary or mandatory certification programs.

For more than twenty years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Raymond J. Devettere's approach is not based on an ethics of abstract obligations and duties but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.

New sections added in this revised fourth edition include sequencing whole genomes, even those of newborns; the new developments in genetic testing now provided by online commercial companies such as 23andMe; the genetic testing of fetuses by capturing their DNA circulating in the pregnant woman's blood; the Stanford Prison experiment and its relevance to the abuses at the Abu Graib prison; recent breakthroughs in the diagnosis of consciousness disorders such as PVS; the ongoing controversy generated by the NIH study of premature babies at many NICUs throughout the county, a study known as SUPPORT that the OHRP (Office of Human Research Protections, an office within the department of HHS) deemed unethical.

Devettere updates most chapters. New cases include Marlise Munoz (dead pregnant woman's body kept on life support by a Texas hospital), Jahi McMath (teenager pronounced dead in California but treated as alive in New Jersey), Margot Bentley (nursing home feeding a woman dying of end stage Alzheimer’s despite her advance directive that said no nourishment or liquids if she was dying with dementia), Brittany Maynard (dying 29-year-old California woman who moved to Oregon to commit suicide with a physician's help), and Samantha Burton (woman with two children who suffered rupture of membranes at 25 weeks and whose physician obtained a court order to keep her at the hospital to make sure she stayed on bed rest). Thoughtfully updated and renewed for a new generation of readers, this classic textbook will be required reading for students and scholars of philosophy and medical ethics.

A Ms. Magazine “Most Anticipated Feminist Book of 2023”

After a less-than-positive experience giving birth as a Black woman in the 1970s, Linda Janet Holmes launched a lifetime of work as an activist dedicated to learning about and honoring alternative birth traditions and the Black women behind them. Safe in a Midwife’s Hands brings together what Holmes has gleaned from the countless midwives who have shared with her their experiences, at a time when their knowledge and holistic approaches are essential counterbalances to a medical system that routinely fails Black mothers and babies. Building on work she began in the 1980s, when she interviewed traditional Black midwives in Alabama and Virginia, Holmes traveled to Ghana, Ethiopia, and Kenya to visit midwives there. In detailing their work, from massage to the uses of medicinal plants to naming ceremonies, she links their voices to those of midwives and doulas in the US. She thus illuminates parallels between birthing traditions that have survived hundreds of years of colonialism, enslavement, Jim Crow, and ongoing medical racism to persist as vital cultural practices that promote healthy outcomes for mothers and babies during pregnancy, birth, and beyond.

Contributors
Nancy L. Diekelmann
Karin Dahlberg
Margaretha Ekebergh
Pamela M. Ironside
Kathryn Hopkins Kavanagh
Melinda M. Swenson
Sharon L. Sims
Rosemary A. McEldowney
Jan D. Sinnott

This insightful study examines the deeply personal and heart-wrenching tensions among financial considerations, emotional attachments, and moral arguments that motivate end-of-life decisions.

America’s health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living.

Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient’s suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means.

Once defiant of death—or even in denial—many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.